Orthopedic Surgery Changes in 2008: Part 1 of 2 (December 2007)

December 2007 pages 1-2 Orthopedic Surgery Changes in 2008: Part 1 of 2 This article highlights important changes to the Orthopedic Surgery section of CPT 2008 , including the establishment of new codes and the transition of multiple codes from modifier 51 exempt status (Appendix E) to add-on code status (Appendix D). New Code for Surgical Placement of Needles or Catheters Into Muscle or Soft Tissue Code 20555 was established to report placement of needles or catheters into muscle and/or soft tissue for subsequent interstitial radioelement application. Additionally, cross-references were added to direct the user to codes for placement of...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This CPT Assistant article summarizes a set of orthopedic surgery coding updates for 2008. It is relevant to coders, billers, and compliance staff who work with orthopedic procedures, musculoskeletal navigation, temporomandibular joint procedures, spinal osteotomy, and CPT appendix/status changes. The article provides a broad overview of new code establishment, code reclassification, and related guidance tied to orthopedic surgery coding changes.

Why This Topic Matters

It helps readers understand which orthopedic CPT updates were introduced for 2008 and which codes were moved between CPT appendices or status categories, which can affect code selection and reporting workflow.

Article Sections

  1. December 2007 pages 1-2

    Publication framing for the CPT Assistant update and the page range covered by this installment.

  2. Orthopedic Surgery Changes in 2008: Part 1 of 2

    Overview of selected orthopedic surgery updates in CPT 2008, including newly established codes and changes involving code status in the CPT codebook.

  3. New Code for Surgical Placement of Needles or Catheters Into Muscle or Soft Tissue

    Discussion of a new orthopedic-related code and related cross-references, along with a clinical example and procedure narrative.

  4. Change in Modifier 51, Multiple Procedures, Exempt Status

    Summary of changes affecting modifier 51 exempt codes, including code relocations and a discussion of add-on code status versus exempt status.

  5. New Codes for Computer Navigation for Musculoskeletal Procedures

    Introduction of new add-on codes for musculoskeletal computer navigation and related references to imaging-based guidance categories.

  6. New Code for Therapeutic Temporomandibular Joint Manipulation

    A new temporomandibular joint manipulation code and the general clinical purpose of distinguishing therapeutic from diagnostic use.

  7. New Spinal Osteotomy Codes for Posterior or Posterolateral Approach, Three Columns

    Creation of spinal osteotomy codes for three-column procedures, including region distinctions, add-on coding context, and a clinical example with procedure description.

What You Will Learn

  • What orthopedic surgery updates were highlighted for CPT 2008
  • How code status changes can affect orthopedic reporting categories
  • What general topics were addressed for musculoskeletal navigation, TMJ manipulation, and spinal osteotomy
  • How the article presents clinical examples and procedure descriptions alongside code changes

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billing specialists
  • Compliance professionals
  • Orthopedic practice administrators
  • Health information management professionals

Codes Discussed

Code Ranges Discussed

Modifiers Discussed


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